Individual
LISA K. GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3251 BAGNELL DAM BLVD STE D, LAKE OZARK, MO 65049-9745
(573) 365-3717
(573) 365-4485
Mailing address
PO BOX 2347, LAKE OZARK, MO 65049-2347
(573) 365-3717
(573) 365-4485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2004029538
MO
Other
Enumeration date
07/07/2006
Last updated
11/02/2009
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